โธActual Awards and FCV figures are shown net of cancellations โ they reflect studies that remain active after any cancelled or on-hold awards are removed.
โธFCV is a derived figure based on two inputs โ number of randomization goals and the per-patient budget (PPB). If either input changes for a study, its FCV will change accordingly.
โธDashboard reflects activity within ATOM through Jul 4, 2026.
๐ At a Glance
๐45%
Studies Awarded (2026 Annual)
141
of 315 target
๐ฐ44%
FCV Captured (2026 Annual)
$44.4M
of $101.4M plan
๐130%
Vaccine Achieved
39/30
130.0% of Vaccine target
๐ฌ36%
Non-Vaccine Achieved
102/285
35.8% of Non-Vaccine target
๐103%
Actual FCV/Trial (2026 Annual)
$315K
vs $306K target
โก Executive Highlights
โ
Vaccine Both Count and FCV Ahead of Plan
Vaccine count at 130.0% (39/30) and FCV at 113.6% ($19.7M vs $17.3M gross target) โ both metrics now ahead of plan. Average vaccine study contract value of $504K is tracking close to, but still below, the implied $590K/study target.
๐ด
Non-Vaccine FCV at 29.4% โ Most Critical Risk
102 NV studies awarded, total FCV generated is only $24.7M against a gross plan of $84.1M (29.4%). Average contract sizes are tracking at $242K vs an implied target of $288K.
๐
Industry Norm: Book-to-Bill of 1.2ร
The industry baseline remains 1.2ร. For every $1 of recognized revenue, $1.20 in net additions should be secured to defend a ~15% organic growth scale.
๐ก๏ธ
Risk-Adjusted Run Rate Gap
The $101.4M gross plan was built with only a 10% cancellation reserve. Actual cancellations are running at 30% โ 3.0x the planned rate. To still net the underlying plan at this elevated cancellation rate, front-end pipeline generation must structurally run at $145.1M+ gross. The margin for error in H2 has disappeared.
๐
Pipeline Conversion Imperative
To close the remaining $57.1M FCV deficit, Q3+Q4 win rates must improve significantly. Our current portfolio mix is skewing toward higher-volume, lower-value site startups which dilutes overall profitability.
Next YearFull year targets for 2027
Annual plan โ switch to Quarter/Month/Week for granular targets
๐ Studies to Award
370
Total count target
๐ Vaccine Count
54
15% of total count
๐ฌ Non-Vaccine Count
316
85% of total count
๐ฐ FCV to Capture
$129.5M
All Studies FCV target
๐ค Patient Randos
7,554
Total randomization goal target
Quarter Scorecard โ 2026
Studies: Actual vs Target by period
Quarter
TGT
ACT
Rate
FCV TGT
FCV ACT
FCV Rate
Q1-26
40
40
100%
$9.9M
$9.4M
95%
Q2-26
55
101
184%
$19.0M
$35.0M
184%
Q3-26
110
0
0%
$35.6M
$0.0M
0%
Q4-26
110
0
0%
$36.9M
$0.0M
0%
Studies Awarded (2026 Annual Results)
Actual vs Target Count (2026 Annual)
ActualTarget
FCV Trend (2026 Annual Results)
Captured vs Plan (2026 Annual)
Actual FCVTarget FCV
Portfolio Mix: Count (for the period)
Actual awards by type (2026 Annual)
Vaccine (39)Non-Vaccine (102)
Portfolio Mix: FCV (for the period)
Actual value by type (2026 Annual)
Vaccine ($19.7M)Non-Vaccine ($24.7M)
Portfolio Mix: T.A (Therapeutic Area, by FCV)
0 studies ยท $0.0M total FCV
No Data
๐งฌ ACTUAL FCV BY STRATIFICATION โ FCV VALUE BANDS (2026 Annual)
Awarded FCV by FCV Value Band
Actuals from Awarded List ยท grouped by contract value
Stratification Detail
Goal band share of total goals, FCV and study count
FCV BAND
STUDIES
% GOALS
FCV
% FCV
AVG FCV/STUDY
< $100K
36
26%
$2.3M
5%
$64K
$100Kโ$500K
83
59%
$20.6M
46%
$248K
$500Kโ$1M
12
9%
$8.8M
20%
$733K
$1Mโ$5M
10
7%
$12.7M
29%
$1,270K
$5M+
0
0%
$0.0M
0%
โ
Total
141
100%
$44.4M
100%
$315K
๐ซ CANCELLATIONS / ON-HOLD / NOT SELECTED
This section covers all studies that were previously Site Selected but subsequently cancelled, placed on hold, or marked as Not Selected โ all of which result in removal of awarded FCV from the active portfolio.
TOTAL CANCELLATIONS
33
of 174 gross awards
CANCELLATION RATE (COUNT)
19.0%
Industry benchmark: <10%
CANCELLED FCV
$19.1M
of $63.5M gross FCV
FCV CANCELLATION RATE
30.1%
Gross FCV lost to cancellations
NET FCV (AFTER CANC)
$44.4M
Net realized FCV YEAR
AVG CANCELLED FCV/STUDY
$579K
Avg value lost per cancellation
Monthly Gross vs Cancelled FCV with Cancellation Rate
Gross FCV awarded each year vs cancelled FCV ยท Cancellation rate % on right axis